Violation Details: 00370901-AP-321230

Records Request Print
Date
11/29/2024
Report number
00370901-AP-321230
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings
On or about November 29, 2024, Alleged Perpetrator #2 (AP2) was assisting the Alleged Victim (AV) with a transfer. Another staff member states that AP2 picked up AV and tossed him/her onto the bed, while getting AV ready for bed. AV was not injured, however, another staff that was present stated that AV winced and looked to be in pain. AV was assessed to ensure no injury occurred. AP2's actions are a violation of resident rights, are considered neglect of care and constitute abuse. The facility's failure to ensure the care plan was followed regarding transfers is a violation of Oregon Administrative Rules.